Individual
MARA WELKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
236 S HUMBOLDT ST, WILLITS, CA 95490-3514
(707) 841-0988
Mailing address
PO BOX 805, WILLITS, CA 95490-0805
(707) 841-0988
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
HMT001303
CA
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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